Category: 2025

IM-09 FEBRUARY 2025 – QUARTERLY FORMS UPDATE

Posted on

FROM: KIM EVANS, DIRECTOR

SUBJECT: FEBRUARY 2025 – QUARTERLY FORMS UPDATE

 

DISCUSSION:

Income Maintenance forms and documents are reviewed and revised quarterly, and as necessary. New forms and documents are created as required or requested.

All new and revised IM forms show a revision date of 01/2025, unless otherwise stated.

New and Revised Forms available in the public and internal forms manuals:

Form Number Form Name New or Revision:
IM-1MAC Addendum to MO HealthNet Application: Request for Optional Cash Benefits Revision to add information for SNC facility base rate, add Veterans information, update rights and responsibilities to match other MHN forms, and format form for digital processing.
IM-1MAC (Spanish) Complemento de la Solicitud de MO HealthNet: Solicitud de Beneficios Optionales en Dinero en Efectivo Spanish revision of IM-1MAC.
IM-29PROV MO HealthNet Spend Down Provider New form to allow medical providers to verify qualified medical expenses to meet spend down. Creation date 11/2024.
IM-29SDP MO HealthNet Spend Down Participant New form to allow participants to provide proof of medical expenses and identify which months to apply the expenses. Creation date 11/2024.

New and Revised Forms available only to FSD staff in the internal forms manual:

Form Number Form Name New or Revision:
PE-1SSL Application for Presumptive Eligibility Updated DSS logo and added Veterans information.
PE-2 Worksheet Qualified Entity Presumptive Eligibility Determination Worksheet Updated DSS logo.
PE-3 MO HealthNet Presumptive Eligibility Authorization Updated DSS logo.
PE-3PW MO HealthNet TEMP/SMHB Authorization Updated DSS logo.

New and Revised Online Forms

Form Name New or Revision:
MO HealthNet Spend Down Participant New form to allow participants to provide proof of medical expenses and identify which months to apply the expenses. Links to the form have been added to mydss.mo.gov webpages. Creation date 11/2024.
MO HealthNet Spend Down Provider New form to allow medical providers to verify qualified medical expenses to meet spend down. Links to the form have been added to mydss.mo.gov webpages. Creation date 11/2024.

Obsolete forms should no longer be used by FSD staff. These forms are no longer in use with current FSD processes. Staff should work with participants and community partners to ensure that the most current forms are being used. The following forms are obsolete:

Form Number Form Name
MO 886-4501 MO HealthNet Spend Down Provider

Some forms and documents require only small revisions and older versions of documents may be accepted as valid, if the information provided on the form is correct. FSD may accept documents that have been obsoleted if the information provided is current and necessary eligibility determinations.

Note: Program applications and documents used to release information are exceptions. These forms must be the current revision, except during the transition period allowed after a new revision is posted.

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.
  • Begin using revised forms immediately.
  • Share with community partners.

 

 

 

KE/cj

IM-08 APPLICATION FOR SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) UPDATE

Posted on

FROM: KIM EVANS, DIRECTOR

SUBJECT: APPLICATION FOR SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) UPDATE

FORM REVISION #
FS-1
FS-1 (Spanish)
FS-1 (Dari)
FS-1 (Pashito)
FS-1 (Large Print)
AEM (Online) FS-1

DISCUSSION:

The “Application for SNAP (FS-1)” was updated with the following:

  • Formatting changes were made throughout the application;
  • A new field was added to the household member details to indicate who buys and cooks together;
  • The question, “Do you need a new Missouri EBT card?” was added;
  • A new field was added to the expenses section to capture how much is paid for an expense.
  • The DSS Non-Discrimination Statement was updated; and
  • The optional Veteran service questions were replaced with a web address and Quick Response (QR) code to the MO Veteran’s Commission survey.

The newest version of the FS-1 has a revision date of 1/2025. Older versions on hand should be destroyed immediately and only the new version should be offered to participants; however, any FS-1 must be accepted regardless of the revision date.

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.
  • Discard any old versions of the FS-1 and begin using the new version (01/2025) immediately.

 

 

 

KE/tl

 

 

IM-07 FAMIS UPDATES FOR REQUESTS FOR INFORMATION (FA325) AND DIVISION OF ASSETS REQUEST FOR VERIFICATION (FA479)

Posted on

FROM: KIM EVANS, DIRECTOR

SUBJECT: FAMIS UPDATES FOR REQUESTS FOR INFORMATION (FA325) AND DIVISION OF ASSETS REQUEST FOR VERIFICATION (FA479)

DISCUSSION:

Updates were completed to the FAMIS eligibility system to allow participants to see a relevant date for each type of requested verification.

As each program may request verification for one or more months to determine initial and ongoing eligibility, this modification allows for participants to see clearly what month the information is being requested for. This does NOT replace special instruction fields entered by staff.

Request for Information (FA325) used for Supplemental Nutrition Assistance Program (SNAP), Temporary Assistance (TA), and Non-MAGI MO HealthNet (MHN) was updated to display the month and year requested for all eligibility factors.

 

Division of Assets Request for Verification (FA479) used for Non-MAGI MHN was updated to display the month and year requested for any resources owned at the date of institutionalization. The date displayed is the last month and year entered in FAMIS for the resource before the date of institutionalization if it was not previously verified.

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.

 

 

 

KE/cj

 

IM-06 NEW PRESUMPTIVE ELIGIBILITY (PE) EMAIL AND REMINDER TO CLOSE PE

Posted on

FROM: KIM EVANS, DIRECTOR

SUBJECT: NEW PRESUMPTIVE ELIGIBILITY (PE) EMAIL AND REMINDER TO CLOSE PE

MANUAL REVISION #
1900.030.00
1900.030.10
1900.030.30

 

DISCUSSION:

Presumptive Eligibility (PE) is not consistently being closed upon approval or denial of ongoing full MO HealthNet (MHN) coverage. This causes duplicate coverage which can cause billing issues and be counted as an error on a Qualify Assurance/Quality Control (QA/QC) review. In order to ensure the PE is closed:

  • Check MXIX to view if a participant has active PE coverage status and end dates. Even when the status shows Closed (CLS), review the end date on the coverage.
  • Review the comments in MEDES on the Client Contact Notes.
  • When a participant with an active PE case is ready to be approved or denied for ongoing MHN, follow directions in the Closing PE Guide in IM Resources.

The contact email for PE closures and contacts has been updated to FSD.IM.Cole.PE@dss.mo.gov. Please begin using this email immediately to request PE closures.

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.

 

 

 

KE/bl

IM-05 REVISION TO NON-MAGI DISABILITY VERIFICATION POLICY

Posted on

FROM: KIM EVANS, DIRECTOR

SUBJECT: REVISION TO NON-MAGI DISABILITY VERIFICATION POLICY

MANUAL REVISION #
1060.005.00
1050.005.15

 

DISCUSSION:

MO HealthNet Non-MAGI disability policy was updated in the December 1973 Eligibility Requirements Manual.

  • 1060.005.00 Verification of Disability was revised to:
    • Add that a Social Security favorable decision letter or determination can be used as proof of disability in certain circumstances.
    • Clarify that a new MRT decision is not required when a case closes and the applicant reapplies within 90 days, if the MRT decision was previously waived.
    • Update the email contact information for MRT.
    • Update FSD terminology.
  • 1060.005.15 Submitting Information on Cases Previously Reviewed by MRT was revised to:
    • Clarify that a new MRT decision is not required when a case closes and the applicant reapplies within 90 days, if the MRT decision was previously waived.
    • Update FSD terminology.

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.
  • Staff should reference IM Resources for updated guidance Non-MAGI disability.

 

 

 

KE/cj

IM-03 UPDATES TO ADMINISTRATIVE DISQUALIFICATION HEARING FORMS IM-160, IM-161 AND IM-161 INSTRUCTIONS

Posted on

FROM: KIM EVANS, DIRECTOR

SUBJECT: UPDATES TO ADMINISTRATIVE DISQUALIFICATION HEARING FORMS IM-160, IM-161 AND IM-161 INSTRUCTIONS
UPDATE

FORM REVISION #
IM-160
IM-161

DISCUSSION:

The Advance Notice of your Administrative Disqualification Hearing (IM-160) and The Waiver of Administrative Disqualification Hearing Consent Agreement (IM-161) forms were revised with the following:

  • Clarification to contact the Administrative Hearing Office,
  • Updated terminology,
  • Updated DSS logo, and
  • The optional Veteran service questions were added with a web address and Quick Response (QR) code to the MO Veteran’s Commission survey.

The Instructions for the IM-161 were updated to reflect the revision to contact the Administrative Hearing Office, as well. The newest version of the IM-160 and IM-161 have a revision date of 1/2025. Older versions should be destroyed immediately, and only the new version should be offered to participants.

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.
  • Discard any old versions of the IM-160 and IM-161.
  • Begin using the new versions (01/2025) immediately.

 

 

 

KE/se

 

 

IM-02 HEARINGS MANUAL UPDATE AND OBSOLETING THE APPLICATION FOR STATE HEARING IM-87

Posted on

FROM: KIM EVANS, DIRECTOR

SUBJECT: HEARINGS MANUAL UPDATE AND OBSOLETING THE APPLICATION FOR STATE HEARING IM-87

MANUAL REVISION #

0130.020.20.25 0130.005.10.25
0130.020.20.30 0130.020.20.15
0130.020.60 0130.020.70.30
0130.020.70.10 0130.020.90.10
0130.020.70.15 1105.035.50
0240.020.05 1130.040.00
  1840.030.15

 

DISCUSSION:

The IM-87 Application for State Hearing form is now obsolete. Any link or reference to the IM-87 has been removed from the policy manuals and replaced with the IM-85 Hearing Request. If a completed IM-87 is received, continue to accept as a request for a hearing, but destroy all printed versions of the IM-87.

The hearing manual was updated to reflect current terminology, the correct processes regarding the handling of a hearing request, and if a participant reports a change to the Family Support Division (FSD) on a case with a hearing pending.

Review the following manual sections:

The manual sections below had the IM-87 replaced with the IM-85, along with terminology updates and removal of obsolete processes no longer utilized by the IMHU and local county FSD staff.

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.
  • Destroy all paper IM-87’s.

 

 

 

KE/ch

 

IM-01 OBSOLETING SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) MANUAL SECTIONS MID-CERTIFICATION REVIEW FOR SNAP ONLY CASES AND FOR SNAP/IM COMBINATION CASES

Posted on

FROM: KIM EVANS, DIRECTOR

SUBJECT: OBSOLETING SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) MANUAL SECTIONS MID-CERTIFICATION REVIEW FOR SNAP ONLY CASES AND FOR SNAP/IM COMBINATION CASES

MANUAL REVISION #
1140.020.05 (Obsolete)
1140.020.10 (Obsolete)

 

DISCUSSION:

The following manual sections contain outdated and/or redundant information:

  • 1140.020.05 Mid-Certification Review for SNAP Only Cases
  • 1140.020.10 Mid-Certification Review SNAP/IM Combination

Relevant information regarding the Mid-Certification review is outlined in 1140.020.00 Mid-Certification Reviews.

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.

 

 

KE/tl